The effectiveness of fractal analysis in diagnosing temporomandibular joint disorders: a systematic review of clinical studies.

IF 1.6 3区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Oral Radiology Pub Date : 2024-12-09 DOI:10.1007/s11282-024-00791-1

Sanjana Santhosh Kumar, Ravleen Nagi, Rachel Chacko, Junad Khan

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引用次数: 0

Abstract

Objective: This study aims to evaluate the application and effectiveness of fractal analysis (FA) in assessing temporomandibular joint disorders (TMDs) with dental imaging.

Methods: This systematic review, conducted in adherence to PRISMA-P and Cochrane Handbook guidelines, involved a comprehensive search of five electronic indexed databases up to September 15, 2024. The thorough search aimed to ensure the inclusion of all relevant studies on dental imaging with fractal dimension (FD) analysis for TMDs. The risk of bias was performed using the revised QUADAS 2 tool.

Results: Out of 342 studies retrieved, 15 met the inclusion criteria and were included in the systematic review. These studies comprised 7 retrospective and 8 prospective nonrandomized clinical studies. Various imaging modalities were used including panoramic, CT, CBCT, and MRI. Most studies reported significantly lower FD values in TMD patients than in controls suggesting FD analysis' potential for detecting early TMJ degenerative changes. However, a few studies did not find significant differences or lacked control groups, highlighting the variability in findings across the research. The overall risk of bias was high regarding the applicability of all included studies.

Conclusion: The fractal dimension (FD) analysis of dental images shows potential as a valuable tool for detecting early degenerative changes in temporomandibular disorders (TMDs). It could enhance diagnostic efficiency by providing additional insights from routine radiographs. However, the variability in findings and methodologies underscores the need for further research to validate and standardize these techniques.

查看原文本刊更多论文

分形分析诊断颞下颌关节疾病的有效性：临床研究的系统回顾。

目的：探讨分形分析（FA）在口腔影像学评估颞下颌关节疾病（TMDs）中的应用及有效性。方法：本系统综述遵循PRISMA-P和Cochrane手册指南，对截至2024年9月15日的5个电子索引数据库进行了全面检索。全面的搜索旨在确保纳入所有相关的牙齿成像与分形维数（FD）分析tmd的研究。使用修订后的QUADAS 2工具评估偏倚风险。结果：在检索到的342项研究中，有15项符合纳入标准并被纳入系统评价。这些研究包括7项回顾性研究和8项前瞻性非随机临床研究。不同的成像方式包括全景、CT、CBCT和MRI。大多数研究报告TMD患者的FD值明显低于对照组，这表明FD分析在检测早期TMJ退行性改变方面具有潜力。然而，少数研究没有发现显著差异或缺乏对照组，突出了研究结果的可变性。就所有纳入研究的适用性而言，偏倚的总体风险很高。结论：牙图像的分形维数（FD）分析在颞下颌疾病（TMDs）的早期退行性改变诊断中具有重要的应用价值。它可以通过提供常规x线片的额外信息来提高诊断效率。然而，研究结果和方法的可变性强调了进一步研究以验证和标准化这些技术的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral Radiology DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.20

自引率

13.60%

发文量

审稿时长

>12 weeks

期刊介绍： As the official English-language journal of the Japanese Society for Oral and Maxillofacial Radiology and the Asian Academy of Oral and Maxillofacial Radiology, Oral Radiology is intended to be a forum for international collaboration in head and neck diagnostic imaging and all related fields. Oral Radiology features cutting-edge research papers, review articles, case reports, and technical notes from both the clinical and experimental fields. As membership in the Society is not a prerequisite, contributions are welcome from researchers and clinicians worldwide.